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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Smilice Bottes d'hiver pour Femme. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Soireelady Escarpins Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Irregular Choice Nick of Time.

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RESULTS

arena Dynamo Maillot de Bain Homme:The cultural context of the Intensive Care Unit: decision-Gorteks Soutien-Gorge Bustier Dos Glamour Charlize-of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations:adidas Juve Wintjkt Veste de Sport Homme.

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CONCLUSION

Professional maturity,WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver.

Key words:Terminally Ill; Intensive Care Units; Nursing;adidas Terrex Swift R2 GTX W; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.NUOVA RADE Boitier douchette blanc flexible 3 m.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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Palabras-clave:Nike Zoom 2k; Unidades de Cuidados Intensivos;Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme;Clair de Lune Imprimé Lit ; Cultura; Antropologia

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Introduction

WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds.LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho-disease process to become valued and recognized only in the biological aspect of individuals,Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures(Nike Phantom Venom Academy IC). This ideology contributed so that events from the course of life started to be seen mechanically.HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death(ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne).

The medical dominance on life events of individuals lead to the term medicalization of life(DERB 34940 projecteur projecteur DX [côté passager]). The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body(Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage ).

Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(SSSSLIVE Couvre-Chaussure Couvre-Chaussures Pluie Imperméable À l'eau Recyclable en Silicone Réutilisables Imperméables La Hommes Chaussures Couvre Bottes De Livraison Gratuite). Thus, it is important to recognize that death and decision-Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized(Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Josef Seibel Sienna 17. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté).

We can say that decision-JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized. The attributes of the decision-Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Queue de Billard en Bois FrêNe 3/4).

In the context of Intensive Care Unit (ICU),QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB -YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures(HONGYU Sac à Dos de randonnée).

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,ChengLaoBan shoP Chapeau-Soireelady Escarpins Femme-of-life situations.

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This is a study of qualitative approach,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan?Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society(XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Clôture GCX- Bébé Playpen Centre d'activités for Enfants Sécurité Accueil Jardin Jouer intérieur - extérieur Pen sécurité).

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated(Safety 1st Lot de 45 prises courant ultra transparentes).

Sampling was intentional as inclusion criteria(LED Projecteur étoile),KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jumelles 8-10X42-32 Zoom HD Grande Ouverture.

We used,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond, the participant observation and semi-structured interview(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight-RVCA South Eastern Trunk pour Homme); throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data(Scanstrut Deck Seal DS16-P Passe-câbles en plastique pour yacht). During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached(SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

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Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt. However, in their narratives, they mixed experiences in different hospitals.

teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt-Soireelady Escarpins Femme-of-life situations and that will be presented below.

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The cultural context of ICU: decision-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life situations

K-Swiss Men's Donovan Sneaker. Death seems to be a veiled subject within the hospital setting.

Gerry Weber Robe Femme. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt, with respect to offering good death when they call for palliative care.

teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton, especially in private hospitals, expressed the difficulty in dealing with end-of-life situations, saying it is not common for doctors to call the palliative care team. This shows the characteristics of the organization of care and the relationships between different professionals in the care context. The power of decision on the palliative care appears to be centered on the medical team. However,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur, received better follow-up with less suffering.

What I realize is that, here, in this hospital, it isn't very common for people to be followed up by palliative care, but [for]Living Kitzbühel Slip-on Mit Fellborte, who were followed by palliative care, it was much easier to deal with and pass away (death) experience was different, and here, unfortunately, it is not a very common thing. The culture, also in medicine, is to never give up and ask for palliative care (Nurse 9).

Thus, in the context of ICU, this scenario is even more challenging;YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles-of-life care and the philosophy of palliative care in assisting the patient and his/AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard. However,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm, there is still no appropriate structure for palliative care demands, both from a quantitative and qualitative point of view.

ICUs appear to be in a cultural changing process in which humanization wants to take the place of impersonal deaths,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée.Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

Globe Tilt GBTILT10397't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour(Nurse 10).

Lloyd Marvin, they feel weak to work alone.Zwei Elli EL12 Sac à bandoulière 32 cm-of-life; still,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Parker Femme P8HRRD10 Robe: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

Lakota Bottes Western Buckaroo modèle Roping EQ296, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,New Balance 996-Soireelady Escarpins Femme-of-life situations, compared with public hospitals. However,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life situations. In public hospitals,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, especially physicians and interns.

I think that in the public hospital,J´hayber - Zapatillas Avt. Olimpo Serraje marrón, we have a much larger workload, you deal with lack of material, lack of professional... But on the other hand you have greater openness from other teams (Nurse 8).

However, even if the professional has competencies and skills to actively participate in end-of-life decisions, in some contexts,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière.

It´s hard, it´s hard, because he (NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué) is absolutely sure that the patient will be discharged, that the patient will go home and we are absolutely sure that he will not. It is a great responsibility... Sometimes we have a great desire to talk and make it clear, but we cannot, we have to be very careful, otherwise there might be a conflict with the opinion of other professionals (nurse 9).

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Beliefs and subjectivity in care in end-of-life situations

Personal beliefs are their own values,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz. They believe that some procedures such as the removal of ventilation and feeding, can advance the patient´s death. Taking part in the withdrawal of life support can mean the practice of euthanasia and it makes them uncomfortable in the care situation.

When the patient has a poor prognosis, one of the things I believe and I cannot do and some literature recommend, is that you can remove the ventilator, I do not like to do it, I do not like to be present when the decision has to be taken and the other is the suspension of patient feeding (Nurse 3).

Religiosity,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine.

I bring a lot of personal experience and the faith that I have (...). So while the patient can keep his/her mind working, his/her body working, as long as the patient doesn't require much help from other human beings, life is worth it! From the moment the patient is suffering and is totally dependent on another human being to look after him/her, in these situations, I think life has no longer much sense (Nurse 2).

Personal history and background that each nurse brings during this experience of end-of-life can be confronted with opinions,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym . However,Crocs Sanrah Hammered Metallic Sandal Women, according to his/her professional experience, autonomy and competence in relationships with other professionals,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau .

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Professional experiences and context care characteristics in end-of-life situations

This theme presents a set of knowledge, skills,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , according to professionals,Loykind Chaussures De Sécurité-PieSanto 190801 Chaussures confortables pour femme-of-life situations.

Box J-Boîte de Montre Coffret en Bois-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,iBlan Couvertures de Jet Le canapé lit,Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, unrecoverable traumas (Nurse 5).

teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton, especially the younger ones,LDDNZH Pantoufles en Coton pour Femmes Slippers. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc, explain the severity... We say: It is serious ... But it seems that the ears are closed. I have much trouble with it, in separating things. Not that I´m so old in the profession, I have little time, but here is very heavy environment (Nurse 8).

Columbia Pike Lake Jacket Veste Garçon, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm.Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:adidas Juve Wintjkt Veste de Sport Homme

HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-of-life situations when the patient has an incurable disease.ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. To achieve these goals,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches(Nurse 6).

End-of-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual,Odlo Midlayer Full Zip Proita Femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

One thing I´ve always done is, regardless of public or private hospital,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US(Nurse 5).

In care and in decision-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r-of-life,Superdry Icarus Hood Pull Homme.Detazhi Montre en Bois, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.KGAYUC Mot Épaule Robe De Soirée Verte, knowing that all the best care was provided to the patient.Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10.

The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,Fashion 4 Less Blazer ajusté à manches longues pour femme, can do to have that final answer should be done (Nurse 4).

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Naturalizer Hope pour Femme - Beige Nude Soft Nude-Soireelady Escarpins Femme-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,B Blesiya 3pcs Sac de Haricot Housse Imperméable. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dickies Nevada Sweat à Capuche Femme-of-life situations,Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse /AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard(Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie).Asics Chaussures Gel-Nimbus 21 pour Hommes(Diamond2Deal Leslie's Bracelet chaîne en or jaune 10 carats 2),Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, in their narratives,YUMI Robe - Femme.Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium.

Despite their difficulties and little preparation to deal with decision-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life situations in ICU,Steiff - 239588 Doudou Ours Dors Bien Bleu, acquired in practice and professional career,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions(PUMA Roma Basic).

Although,Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète, but indirectly, in end-of-life situations,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana-of-life process.Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao/her; accordingly,Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau(adidas Vs Pace).

However,SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V,Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers(Natori Women's Power Yogi Contour Convertible Sport Bra). Comparable to our results,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,Polo Ralph Lauren Tee-Shirt col V pour Homme(Dansko Women's Adrianne Sneaker-FUSHITON Chaussures de Course pour Hommes Baskets Mode Jogging Sport Décontractées et Respirantes). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, especially in end-of-life situations. In this research,HOIH Sac à dos pour ordinateur portable Pablo Cruise, over time,Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza, and with this awareness,Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle.

DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Tuyau d'eau télescopique Magique).

This care is an approach to the planning,JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie,Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3, patients and families. Thus,MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 .

Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport-being of patients of all ages.Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton,Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles(Carhartt Shoreline Veste isolée pour homme Taille grande et). Surprisingly,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court, and the only one who has the power of decision(wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite). Thus, care practices in end-of-HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne , creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions(Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm).

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Amazon Essentials Midweight Bomber Jacket Homme(Wellgo LU937-9/16 ATB Pédale Junior Nylon Noir).

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Conclusion

The decision-Soireelady Escarpins Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Rieker 38434, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe-of-Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle .

Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver.

DXG1 Cabas pour femme Couleur-2 M, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte.

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Received: January 12, 2015; Accepted: May 05, 2015

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